Clinical Outcomes and Oral Health-Related Quality of Life after Periodontal Treatment with Community Health Worker Strategy in Patients with Type 2 Diabetes: A Randomized Controlled Study

Yuan-Jung Hsu, Yi-Hui Chen, Kun- Der Lin, Mei-Yueh Lee, Yu-Li Lee, Chih-Kai Yu, Yuji Kabasawa and Hsiao-Ling Huang
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Yuan-Jung Hsu: School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
Yi-Hui Chen: Dental Department, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Kun- Der Lin: Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
Mei-Yueh Lee: Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Yu-Li Lee: Division of Endocrinology and Metabolism, Cishan Hospital, Kaohsiung 84247, Taiwan
Chih-Kai Yu: Dental Department, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung 81267, Taiwan
Yuji Kabasawa: Oral Care for Systemic Health Support, Faculty of Dentistry, School of Oral Health Care Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo 113-8510, Japan
Hsiao-Ling Huang: Department of Oral Hygiene, Kaohsiung Medical University, Kaohsiung 80708, Taiwan

IJERPH, 2021, vol. 18, issue 16, 1-14

Abstract: Interventions engaging community health workers (CHW) for diabetes management aim to improve diabetes care and self-management behaviors among patients. We evaluated the effects of nonsurgical periodontal treatment (NSPT) with the CHW strategy on oral self-care behaviors, periodontal status and oral health-related quality of life (OHQoL) in patients with type 2 diabetes mellitus (T2DM). The participants were randomly assigned to experimental (EG; n = 35) and control (CG; n = 33) groups. All participants received NSPT, whereas the patients in the EG also received one-on-one 30 min lessons from a CHW over 4 weeks. The EG exhibited greater improvement in the probing pocket depth (? = ?0.2, effect size [ES] = 0.61) and clinical attachment level (? = ?0.2, ES = 0.59) at 1-month follow-up than the CG did. The ES increased over the 1-, 3- and 6-month follow-ups, indicating an increase in OHQoL (ES = 0.19, 0.60, and 0.62, respectively) in the EG. The patients in the EG were more likely to change their oral self-care behaviors than patients in the CG were. The NSPT with CHW strategy had a positive effect on 1-month periodontal treatment outcomes, long-term OHQoL and oral self-care behaviors in patients with T2DM.

Keywords: community health workers; type 2 diabetes mellitus; periodontal disease; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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